Shawn Micheal Minick, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9416 Issued in NC

Practice address

218 Old Mocksville Rd
Statesville, NC 28625-1930

Phone

(704) 838-7620

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greg Otts Center for Physical Therapy and Sports Performance LLCGroup PAC ID 3274661988, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greg Ott'S Center for Physical Therapy and Sports Performance, LLC

  • Physical Therapist
  • Charlotte, NC
  • NPI 1073835765

  Orthopedic

  Medicare reassignment Care Compare group NPD
• SMPT Physical Therapy & Wellness LLC

  • Physical Therapist
  • Mooresville, NC
  • NPI 1336908011

  Orthopedic

  Medicare reassignment NPD Authorized official
• Greg Ott'S Center for Physical Therapy and Sports Performance, LLC

  • Physical Therapist
  • Mooresville, NC
  • NPI 1427397603
  NPD
• Joint Replacement Specialists, P.C.

  • Orthopaedic Surgery Physician
  • Hickory, NC
  • NPI 1548296015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1164558276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 N WENDOVER RD",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-838-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICK",
        "first_name": "SHAWN",
        "middle_name": "MICHEAL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "9416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mills, SPEECH THERAPIST
• Tami Jean Mills, FNP
• Warren G Mills, MD
• Barbara Jane Millsaps, LPN
• Katya Minervini
• Angela Minor, LPN
• Emily Minton
• Mary Elizabeth Minton, MS, BCBA
• Anita Misra, M.D.
• Mitchell and Johnson Phcy Inc

• Orthopedic Physical Therapist in Statesville, NC
• Providers in Statesville, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.